Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08693 | Date 04/04/2023 |
| Token No | SM/22-23/10324 19/06/2023 | Serial | 011 |
| Patient Name | Mr. HARESHWAR MAHATO | Contact No | 9007283640 |
| Address | 103 R B SARANI | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||